Organization
NORTH CENTRAL HEALTH CARE MOUNTVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STACY SHUBERT OTR (OTR)
(715) 570-1717
Entity
Organization
Contact information
Practice address
2400 MARSHALL ST, WAUSAU, WI 54403-6738
(715) 848-4300
Mailing address
1352 N 10TH AVE, WEST BEND, WI 53090-1814
(262) 391-8666
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4721027
WI
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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